# Foreign Body Presenting as Golden Hypopyon

## TL;DR

A man with a metallic eye injury had successful surgery to remove the object, preventing vision loss and complications.

## Contribution

A case report of a unique presentation of a metallic intraocular foreign body mimicking a golden hypopyon.

## Key findings

- A 35-year-old male had a metallic intraocular foreign body successfully removed surgically.
- Postoperative visual acuity returned to baseline and remained stable at one-month follow-up.
- Unique presentations of intraocular foreign bodies can be managed effectively with timely intervention.

## Abstract

Penetrating intraocular foreign bodies (IOFBs) are ocular emergencies, often leading to preventable vision loss. This case report highlights a unique presentation of a work-related penetrating IOFB that mimicked a golden hypopyon.

A 35-year-old male presented to the emergency department with sudden-onset pain and vision loss in the left eye while he was cutting a tree with metallic scissors. He had a visual acuity of 20/30 in the right eye and counting fingers in the left eye. A dilated slit-lamp examination and CT scan confirmed the presence of a 6–8 mm metallic IOFB in the anterior chamber, with no involvement of the lens or the posterior segment. Surgical removal was performed.

The metallic IOFB was removed surgically with IOFB forceps using a single paracentesis. The patient reported resolving pain and regained baseline visual acuity of 20/20 postoperatively, which remained stable at one-month follow-up.

This case illustrates the successful surgical management of a penetrating metallic IOFB with a unique presentation mimicking a hypopyon. Emphasis on unique presentations of IOFBs can aid in timely management, ultimately reducing the risk of complications.